Individual provider Active NPI

Kathryn Marie Westlein, LCSW-C

  • Clinical Social Worker
  • Ellicott City, MD
National Provider Identifier
1629164652
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10602 Issued in MD
Practice address
3565 C2 Ellicott Mills Dr
Suite 101
Ellicott City, MD 21043-4544
Phone
(410) 916-0280
Fax
(443) 592-9006
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10602 MD Primary

Addresses

Primary practice location

3565 C2 Ellicott Mills Dr
Suite 101
Ellicott City, MD 21043-4544

Mailing address

3565 Ellicott Mills Dr. C2
Suite 101
Ellicott City, MD 21043
Phone (410) 916-0280

Other identifiers 1

IdentifierTypeStateIssuer
334424000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506001710 MD Practitioner - Clinical Social Worker 8729077649 Reassigns benefits to 1 organization
Practice locations: Ellicott City, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3565 Ellicott Mills Dr
Suite 101
Ellicott City, MD 21043-4525
Phone (410) 916-0280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10602MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Westlein, LCSW-C LLC Clinical CurrentSince Sep 17, 2019 Accepting new patients
Frank W. Gibson, Jr. P.a. PastSince May 1, 1995 Accepting new patients

Locations

3565 Ellicott Mills Dr
Ste 101
Ellicott City, MD 21043
Phone (410) 916-0280

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1629164652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 ELLICOTT MILLS DR. C2",
            "address_2": "SUITE 101",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21043",
            "telephone_number": "410-916-0280",
            "fax_number": "443-592-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 C2 ELLICOTT MILLS DR",
            "address_2": "SUITE 101",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434544",
            "telephone_number": "410-916-0280",
            "fax_number": "443-592-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTLEIN",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334424000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.